19D2314195 CLIA NUMBER - ARISE THERAPY LLC

Laboratory Demographics

  • CLIA Code: 19D2314195
  • Facility Name: ARISE THERAPY LLC
  • Facility Address: 1110 NORTH 7TH STREET
    WEST MONROE, LA
    ZIP 71291
  • Facility Phone: 318 680-0375
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTIAN N. GULLETTE
  • NPI Number: 1053131888
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2314195
LAB Type Physician Office
Facility Name ARISE THERAPY LLC
Street 1110 NORTH 7TH STREET
City WEST MONROE
State LA
ZIP 71291
Phone 318 680-0375
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director CHRISTIAN N. GULLETTE

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This page was last updated on: 9/29/2025